Evidence map›Paper›PMID 39392534›Full record

ReviewHeart failure reviews2025

The chronobiology of human heart failure: clinical implications and therapeutic opportunities.

Francesco Gentile, Michele Emdin, Claudio Passino, Sabrina Montuoro, Paola Tognini, John S Floras, John O'Neill, Alberto Giannoni

Abstract readReview
In one paragraph

Review in Heart failure reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. The clinical value of circadian biofeedback in chronic heart failure.European heart journal. Digital health · 2026
    Article
  5. Review
  6. Circadian rhythms in cardiovascular disease.European heart journal · 2025
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Francesco GentileHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy.
Michele EmdinHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy.
Claudio PassinoHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy.
Sabrina MontuoroHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy.
Paola TogniniHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy.
John S FlorasUniversity Health Network and Sinai Health Division of Cardiology, Toronto, ON, Canada.
John O'NeillMedical Research Council Laboratory of Molecular Biology, Cambridge, UK.
Alberto GiannoniHealth Science Interdisciplinary Center, Scuola Superiore Sant'Anna, Pisa, Italy. a.giannoni@santannapisa.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Circadian variation in cardiovascular and metabolic dynamics arises from interactions between intrinsic rhythms and extrinsic cues. By anticipating and accommodating adaptation to awakening and activity, their synthesis maintains homeostasis and maximizes efficiency, flexibility, and resilience. The dyssynchrony of cardiovascular load and energetic capacity arising from attenuation or loss of such rhythms is strongly associated with incident heart failure (HF). Once established, molecular, neurohormonal, and metabolic rhythms are frequently misaligned with each other and with extrinsic cycles, contributing to HF progression and adverse outcomes. Realignment of biological rhythms via lifestyle interventions, chronotherapy, and time-tailored autonomic modulation represents an appealing potential strategy for improving HF-related morbidity and mortality.

Indexed as

Circadian RhythmHeart FailureChronobiology PhenomenaHumansChronobiologyChronotherapyCircadian rhythmsHeart failurePathophysiologySleep medicine

Identifiers

PMID39392534
PMCPMC11646217

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.